How economic crises affect alcohol consumption and alcohol-related health problems: a realist systematic review

Social Science & Medicine
Moniek C M de GoeijAnton E Kunst

Abstract

Economic crises are complex events that affect behavioral patterns (including alcohol consumption) via opposing mechanisms. With this realist systematic review, we aimed to investigate evidence from studies of previous or ongoing crises on which mechanisms (How?) play a role among which individuals (Whom?). Such evidence would help understand and predict the potential impact of economic crises on alcohol consumption. Medical, psychological, social, and economic databases were used to search for peer-reviewed qualitative or quantitative empirical evidence (published January 1, 1990-May 1, 2014) linking economic crises or stressors with alcohol consumption and alcohol-related health problems. We included 35 papers, based on defined selection criteria. From these papers, we extracted evidence on mechanism(s), determinant, outcome, country-level context, and individual context. We found 16 studies that reported evidence completely covering two behavioral mechanisms by which economic crises can influence alcohol consumption and alcohol-related health problems. The first mechanism suggests that psychological distress triggered by unemployment and income reductions can increase drinking problems. The second mechanism suggests that due...Continue Reading

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Citations

Jan 16, 2016·International Journal of Environmental Research and Public Health·Geert DomDavid McDaid
Feb 28, 2016·Drug and Alcohol Dependence·Moniek C M de GoeijAnton E Kunst
Apr 20, 2016·European Journal of Oral Sciences·Fouad Y H Al-SudaniAnna L Suominen
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